Nicole Jahne, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT29569 Issued in CA

Practice address

20655 Yorba Linda Blvd
Suite a
Yorba Linda, CA 92886-7110

Phone

(714) 693-0460

NPI assigned

Jul 19, 2006

Last updated

Apr 28, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Innovative Wellness Solutions Inc

  dba California Rehabilitation and Sports Therapy

  • Physical Therapist
  • Yorba Linda, CA
  • NPI 1356367411
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1356360077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20655 YORBA LINDA BLVD",
            "address_2": "SUITE A",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928867110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20655 YORBA LINDA BLVD",
            "address_2": "SUITE A",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928867110",
            "telephone_number": "714-693-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHNE",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Kennis MD Inc
• Manera Jeszel Jackson, RN
• Michelle Christine Jackson, MSW, LCSW
• Jaclyn W. Bae, DDS Inc (Jaclyn W. Bae, DDS Inc dba Sunshine Pediatric Dentistry)
• Lorraine Anne Jacob, SPEECH PATHOLOGIST
• Hyder Jamal, MD
• William Glen Janeshak, D.C.
• Janet Pharmacy Enterprises Inc (Linda Vista Pharmacy LTC)
• Janet Pharmacy Enterprises Inc (Linda Vista Pharmacy)
• Malcolm Janet, RPH

• Physical Therapist in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.